Individual provider · Type 1 NPI

Eduardo Elizalde Santos, PA

Student in an Organized Health Care Education/Training Program · Hialeah, FL

NPI number 1780935361 Active

Practice location

1475 W 49th Pi
Hialeah, FL 33012

Mailing address

19501 E Oakmont Dr
Hialeah, FL 33015-2009

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780935361

Eduardo Elizalde Santos, PA's National Provider Identifier is 1780935361, issued on Sep 24, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hialeah, FL. The record was last updated on Apr 16, 2025.